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2026 HCPCS

Get to Know Over a Dozen New Jan. 2026 HCPCS Codes

If your practice provides epinephrine, esketamine nasal spray, testosterone pellets or a wide range of other drugs or supplies, you may have new options for reporting these products starting in January, thanks to adjustments to the 2026 HCPCS code set. Read on to discover which 2026 HCPCS codes may impact your practice in the new […]
Published Date: December 12, 2025
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HIPAA Breaches

3 Recent HIPAA Breaches Every Practice Can Learn From

One great way to ensure your practice avoids HIPAA breaches is to learn from the mistakes other practices have made. It’s a good idea to keep track of organizations that recently made news for HIPAA issues and dig into what happened to cause their leaks. Check out three recent HIPAA breaches and discover which issues […]
Published Date: December 10, 2025
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Iron Out Vaccination Codes With New CPT 2026 Options

When CPT 2026 debuted last month, it was easy for many practices to get confused about the new coding options. This was particularly true for practices that perform a lot of vaccinations, since CPT rolled out quite a few new codes that apply to immunization services. If your practice performs inoculations, now’s the time to […]
Published Date: December 3, 2025
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Would Your Practice Benefit From a Concierge Medicine Model?

Concierge medicine is an increasingly popular type of service that some medical practices offer to patients as a way to provide enhanced care for a fee. While some practices and patients find this care model to be beneficial, it’s not for everyone. Discover the questions you should ask to evaluate whether a concierge medicine might […]
Published Date: December 1, 2025
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Aetna Softens New Medicare Advantage Downcoding Policy

Another day, another downcoding policy to grapple with. And while that’s unfortunately the reality in today’s healthcare world, the latest news from Aetna isn’t all bad. The payer has issued a new downcoding policy, but swiftly relaxed it and pushed back the implementation date. Check out the essentials you must know to prepare for Aetna’s […]
Published Date: November 26, 2025
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3 Provider Training Tips to Deploy After Your Internal Audit

Completing an internal audit is a major accomplishment, and it’s only the beginning. The real value comes from what happens next: using those findings to strengthen your team’s documentation, coding accuracy, and overall compliance. That process starts with identifying problem areas and turning them into clear, actionable training opportunities for physicians, billers, and other staff. […]
Published Date: November 24, 2025
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Telehealth Flexibilities Extended Through Jan. 30, 2026

When the Medicare telehealth flexibilities expired on October 1, most Medicare administrative contractors (MACs) held back on processing telehealth claims since it was unclear whether the waivers would be extended. Fortunately, when the government shutdown ended on November 13, telehealth claims were once again payable — but not for long. Keep reading to discover more […]
Published Date: November 20, 2025
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Expect 5 New Remote Therapeutic Monitoring Codes Jan. 1

Practices that perform remote therapeutic monitoring (RTM) will have the opportunity to collect for these services even if patients aren’t monitored for a full 30 days, thanks to CPT 2026. Five new codes will represent shorter time periods than in the past, and they go into effect on January 1st. Check out a few remote […]
Published Date: November 18, 2025
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2026 CMS fee schedule

2026 CMS Final Rule Debuts 2 Separate Conversion Factors

The 2026 CMS final rule was issued on October 31, despite the fact that many people wondered whether the government shutdown would delay it. Key among the changes to the 2026 Medicare Physician Fee Schedule Final Rule is a big adjustment to how the conversion factor is applied to your claims. Check out a few […]
Published Date: November 11, 2025
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Legal pitfalls

Avoid These Common Medical Practice Legal Pitfalls to Stay Compliant

Doesn’t it sometimes seem like payers are just pulling denial reasons out of thin air so they can avoid paying your claims? In some cases, they’re using the law to their advantage, and in other situations, they could be taking a stab in the dark. The only way to know for sure is to solidify […]
Published Date: November 10, 2025
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